Individual
AUDREA H WYNN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1460 UNIVERSITY DR, WINCHESTER, VA 22601-5100
(540) 665-5430
(540) 665-5576
Mailing address
1460 UNIVERSITY DR, WINCHESTER, VA 22601-5100
(540) 665-5430
(540) 665-5576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101043925
VA
207X00000X
Orthopaedic Surgery Physician
Primary
0101043925
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010090440
—
VA
Enumeration date
12/28/2005
Last updated
06/27/2025
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